This provider's $9.8M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $466.31 | $196.68 | 2.37x | $269.63 | $766.5K | 2.4K | 2.2K |
| 2015 | $532.54 | $223.89 | 2.38x | $308.65 | $828.9K | 2.5K | 2.3K |
| 2016 | $522.09 | $212.61 | 2.46x | $309.48 | $846.6K | 2.5K | 2.3K |
| 2017 | $530.00 | $210.09 | 2.52x | $319.91 | $918.8K | 2.7K | 2.5K |
| 2018 | $548.22 | $211.63 | 2.59x | $336.59 | $987.5K | 3.0K | 2.8K |
| 2019 | $585.37 | $227.97 | 2.57x | $357.40 | $1.1M | 3.1K | 2.9K |
| 2020 | $649.92 | $241.38 | 2.69x | $408.54 | $972.0K | 2.7K | 2.5K |
| 2021 | $596.58 | $218.44 | 2.73x | $378.14 | $1.1M | 3.1K | 2.9K |
| 2022 | $674.43 | $255.68 | 2.64x | $418.75 | $1.2M | 3.2K | 2.9K |
| 2023 | $669.80 | $247.41 | 2.71x | $422.39 | $1.1M | 3.0K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 9.3K | $4.7M | $503.60 | 2.21x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 4.1K | $1.4M | $341.68 | 1.89x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 4.9K | $1.0M | $209.96 | 4.00x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.2K | $767.7K | $655.61 | 2.08x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.2K | $523.6K | $234.27 | 3.21x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.0K | $513.5K | $490.94 | 1.91x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 706 | $185.2K | $262.37 | 2.24x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 746 | $162.2K | $217.43 | 4.41x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 318 | $103.7K | $326.15 | 1.81x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 808 | $85.9K | $106.29 | 3.75x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 369 | $67.9K | $184.11 | 3.53x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 91 | $57.8K | $635.46 | 1.96x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 244 | $41.7K | $170.95 | 3.52x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 416 | $35.4K | $85.08 | 3.44x |
| 11100 | Biopsy of single growth of skin and/or tissue | 269 | $15.8K | $58.69 | 2.49x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 128 | $15.6K | $121.87 | 3.81x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 166 | $12.1K | $72.84 | 3.50x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 108 | $11.2K | $103.65 | 3.20x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 302 | $11.1K | $36.82 | 2.33x |
| 12041 | Repair of wound (2.5 centimeters or less) of neck, hands, feet, and/or genitals | 93 | $9.9K | $106.52 | 3.39x |
This provider submits charges 2.45 times higher than what Medicare actually pays.
A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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